Dieuzaide P, Savon N, Chalvidan T, LeTallec L, DeHaro J C, Djiane P
Service de Cardiologie, Hôpital Sainte-Marguerite, CHU Marseille, France.
Pacing Clin Electrophysiol. 1998 Dec;21(12):2699-700. doi: 10.1111/j.1540-8159.1998.tb00053.x.
Extraction of three chronically implanted pacemaker leads was performed via the implant vein in a 71-year-old man. One of the leads broke in the subclavian scar tissue. The lead fragment migrated into the left peroneotibial trunk artery. Transesophageal echocardiography showed patent foramen ovale associated with right-to-left atrial shunt. This complication of lead extraction is discussed along with the role of echocardiography prior to lead removal.
在一名71岁男性患者中，经植入静脉取出了三根长期植入的起搏器导线。其中一根导线在锁骨下瘢痕组织处断裂。导线碎片迁移至左腓骨胫干动脉。经食管超声心动图显示卵圆孔未闭伴右向左心房分流。本文讨论了导线取出的这一并发症以及导线移除前超声心动图的作用。
